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General NPI Number Information
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NPI Number | 1750494514
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Entity Type | Organization
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Legal Business Name | HOSPICE ADVANTAGE, LLC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 220 N STATE ROUTE 7
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City | PLEASANT HILL
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State | MO
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Zip | 64080-1426
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Country | US
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Telephone | 816-228-2500
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Fax | 816-795-7818
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR SUITE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-5078
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Country | US
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Telephone | 615-377-7022
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Fax | 615-373-4457
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Authorized Official
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Title or Position | CFO
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Name | ANTHONY JAMES
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Credential |
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Telephone | 615-425-5418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | HO-161
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License Number State | MO
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